Organization
PRESTIGE MEDICAL P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEEVAN R SANTHA (PRACTICE MANAGER)
(281) 923-4112
Entity
Organization
Contact information
Practice address
3945 COUNTY ROAD 58, MANVEL, TX 77578-2903
(281) 412-6606
(281) 489-0233
Mailing address
3945 COUNTY ROAD 58, MANVEL, TX 77578-2903
(281) 412-6606
(281) 489-0233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7625
TX
261QP2300X
Primary Care Clinic/Center
Primary
L7625
TX
Other
Enumeration date
03/08/2007
Last updated
02/09/2026
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